Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $169.82 / $204.17	Facility		$141.25	$169.82	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $131.83 / $213.80	Professional		$70.79	$131.83	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $204.17	Professional		$67.61	$67.61	$204.17
HMSA Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $208.93 / $234.42	Professional		$169.82	$208.93	$234.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $204.17 / $257.04	Professional		$186.21	$204.17	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $128.82 / $257.04	Professional		$64.57	$128.82	$257.04
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $229.09 / $316.23	Professional		$141.25	$229.09	$316.23